!! MSc$in$PSYCHOLOGICAL$THERAPY$IN$ PRIMARY$CARE$!

Transcription

1 MScinPSYCHOLOGICALTHERAPYIN PRIMARYCARE 1

2 2 INTRODUCTION ThisoneyearMSccourseinPsychologicalTherapyinPrimaryCare(Adults),commencingin January2016,willberunjointlybytheUniversitiesofStirlingandDundee,inpartnershipwithNHS EducationforScotlandandanumberofNHSPsychologyServicesacrossScotland.Oncompletion ofthecourseandfollowingagreedandappropriatesupervisionandcontinuingprofessional development,thetrainees,ofwhomtherewillbeananticipatedintakeof21inthe2016intakeyear, willbecompetentintheassessmentandtreatmentofadultpatientssufferingfromarangeof commonmentalhealthdisorderstypicallypresentinginprimarycaresettings.thereafteritis expectedthattraineeswillcontinueinsupervisedclinicalpracticeinordertoconsolidateanddevelop furthertheirclinicalskills. The12monthcoursehasastrong,butnotexclusive,emphasisoncognitivebehaviouraltherapyand ontheapplicationofscientificmethodstohealthcareandassessment.traineeswillbeemployed concurrentlybylocalnhsscotlandpsychologyservices,whereallclinicalplacementsinvolving superviseddirectpatientcontactwillbeundertaken. PARTNERS UniversityofDundee PsychiatryandBehaviouralSciencesisasectionoftheCentreforNeuroscience,Divisionof PsychologicalMedicine,withintheCollegeofMedicine,DentistryandNursingbasedonthe NinewellsHospitalcampus.Itreceiveda5ratinginthelastResearchAssessmentExercise.The researchactivitiesofthesectionexploredifferentaspectsoftheclinicalandbehavioural neurosciencesofpsychiatricandpsychologicaldisorderwithinthreestrategicthemes:affective Disorders,AddictionandDevelopmentandAgeing.Withineachofthesebroadthemes,Sectionstaff deliverresearch,educationandtrainingthatspansthebasicsciencesincludingsocial,psychological, geneticandneurobiologicalperspectives.thesectioncurrentlyhas13academicstaff.aclinical, researchandteachinggroupwithinaffectivedisordersisfocusedoncognitivebehaviouraltherapy (CBT).ThisgrouphasasignificanttrackrecordofteachingclinicalskillsinCBTandofconducting clinicalresearchontheefficacyofpsychologicaltherapyforanxietydisordersand,morerecently, depressionandpsychosis.thegroupisresponsiblefortheuniversityofdundee spostgraduate trainingcoursesincognitivebehaviouralpsychotherapyformentalhealthprofessionals. BoththeSectionandtheCBTgroupplaceastrongemphasisonclinicalresearchandteaching collaborationacrossprofessionaldisciplinesandacompetencywbasedapproachtoteachingclinical skills.theresearchactivitiesofthecbtgroupcurrentlyfocusonevaluatingtheeffectivenessof psychologicaltherapyforchronicdepression. DundeeisthefourthlargestcityinScotland,withapopulationofabout150,000.Thecityissituated inmagnificentsurroundingsonthenorthbankofthetayestuary(saidtobethecleanestriverin WesternEurope).TothenortharetheglensandmountainsofAngusand60milestothesouthis thecapitalcityofedinburgh.theuniversitywasfoundedasauniversitycollegebylocal benefactorsin1881.in1897,itbecameacollegeofstandrewsuniversityandcontinuedinthis roleuntil1967,whentheroyalcharterestablishingtheuniversityofdundeewasgranted.there arecurrentlysome13,500fullwtimeandpartwtimestudentsinsevenfaculties.forfurther information,visittheuniversity swebsiteat: UniversityofStirling TheDepartmentofPsychologyattheUniversityofStirlinghasawellestablishedrecordofhigh qualityresearchandteaching.aspectsofclinicalpsychologyrelevanttoprimarycarefigure prominentlyamongthedepartment smainareasofacademicinterest.thereis,inaddition,astrong focusonhealthpsychology,neuroscienceanddevelopmentalpsychology.thedepartmentisalso

3 3 thebaseforacommunityclinicalpsychologyclinicandananxietyandstressresearchcentre, whichhasstronglinkswithlocalnhsprimarycareservices,providingexcellentopportunitiesfor clinicalresearchinvolvingarangeofcommonmentalhealthdisordersandtheirmanagement.other majorrelatedareasofinterestincludeoccupationalstress,selfwharm,psychologicalproblemsof youngoffenders,behaviouralmedicineandpsychologicalsequelaeofsocialandeconomic disadvantage. TheUniversityofStirling scampus,atthefootoftheochilhills,nearbridgeofallanandtwomiles fromthecityofstirling,isoneofthemostattractiveineurope.thecampushassomeofthe country sfinestsportsandartsfacilitiesandalsoenjoysexcellentroadandraillinks.stirlinghas around9,000students,2,000ofwhomarepostgraduates,andthestudentbodyismadeupof studentsfromover80countries.forfurtherinformation,visittheuniversity swebsiteat: NHSEDUCATIONFORSCOTLAND(NES) WelcomefromNES NESisspecialhealthboard,responsibleforsupportingNHSservicesdeliveredto thepeopleofscotlandbydevelopinganddeliveringeducationandtrainingforall thosewhoworkinnhsscotland. FollowingconsultationwithNHSstakeholdersNEShassupportedthedevelopment ofanewroleforpsychologygraduatesinnhsscotlandasclinicalassociatesinapplied Psychology.TheMastersleveltrainingforthesenewrolesisdesignedtoequippsychology graduateswiththecompetencerequiredtodelivertheevidencewbasedpsychologicalinterventions requiredincircumscribedareasofpracticedefinedbyserviceneed.thedeliveryoftraininginvolves apartnership,brokeredbynes,betweentheuniversitiesprovidingtheacademiccomponentsofthe trainingprogrammesandthenhswhichsupportstraineesinsupervisedclinicalpracticeinthe workplace. TheMScinPsychologicalTherapyinPrimaryCarewasthefirstsuchprogramme,introducedin 2005.NES scommitmenttothistrainingroutecontinuesinto2015(2016intakeyear)withupto21 fundedplaceswithtraineesbeingsupportedhealthboardsacrossscotland. NEScommissionstrainingplacesfromtheUniversityonbehalfofNHSScotlandandsupportsthe educationalcostsi.e.feesandtravelcostsassociatedwithaccesstotraining.traineesare employedbylocalnhsboardsandmanageddirectlybypsychologyserviceswithinthoseboard areas.nesputsagreementsinplacewithemployingboardstounderpinfundingarrangementsfor trainees salariesandtheresponsibilitiesoftheemployerinrelationtotraining.thiscommitment fromnesinpartnershipwithnhsboardsandtheuniversitiesofstirlinganddundeeisasignalof thevaluethatthesetraineesareseenasbringingtothenhsservices. InScotland,ajointinitiativebetweenScottishExecutiveHealthDepartment,NHSEducationfor ScotlandandtheQualityAssuranceAgencyforHigherEducationinScotlandhasproduceda SubjectBenchmarkStatement,whichdescribesthecharacteristicsandstandardsexpectedbothof theclinicalpsychologydoctorateandmastersleveltraininginappliedpsychology. ScottishGovernmentpolicyisdrivingredesigninmentalhealthservicestodeliveritstargetsand commitmentsformentalhealth,includingimprovedaccesstoevidencebasedpsychological therapies.thisisamultilevel,multidisciplinaryandmultiagencytask.thismscprogrammeis designedtoequipgraduatepsychologistswiththeknowledgeandskillstogetstartedassafeand effectivepractitionersinthatchangingservicecontext.thereareopportunitiesandchallengesin managingchange realopportunitiesforpsychologiststofulfilnewrolesofservicedeliveryand challengesinembeddingnewrolesinachangingworkforce.wehaverecentlyintroducedanolder

4 4 adulttrainingpathwaywhichwouldincludetraineesclinicalexperiencebeingweightedtowards adultswhoareover65. Thereisnoguaranteeofemploymentfollowingtraining.Howeverthemajorityofgraduateshave succeededinfindingrelevantjobsincludingclinicalassociatesandprimarymentalhealthworkers aswellasavarietyofotherroles. NEShasakeyroleinworkingwithallthekeystakeholderstoensureeducationremainsalignedto serviceandworkforceplanning i.e.toensurethatthisprogrammedeliversthelearningoutcomes thatitsaysitdoesandthatwe(employers,trainingprovidersandnes)worktogethertosupport transitionfromcoursetopracticeandsubsequentroledevelopment. JudyThomson WelcomefromtheCourseDirectoratDundee Thedevelopmentofcollaborativerelationships,soimportantforsuccessful psychologicaltreatment,hasbeenakeyingredientindevelopinganddelivering themscinpsychologicaltherapyinprimarycare.thisspiritofcollaborationcuts acrosstwouniversities DundeeandStirling alargenumberofnhswbased Psychologydepartments,andNHSEducationforScotland,tomentionjustthe mainpartiesinvolved. Fromthestartthedrivingforcebehindthecoursehasbeenunmetclinicalneed. Commonmentalhealthproblemssuchasanxietyanddepressivedisordersare disabling,consumeagreatdealofhealthcareresources,mainlyinprimarycare,andtendtorecur. Todelivereffectiveclinicalservicesfortheseproblemswemusttrainmanymorepsychological therapiststhancurrentlyexistand,mostimportantly,wemusttrainpractitionersinhowtodelivera flexiblerepertoireofevidencewbasedtreatmentsthatareintegratedwithinthemultiwdisciplinary contextofmodernprimarycare. Thecourseteamhasextensiveclinicalexperienceofworkinginprimarycare,considerableexpertise inbothclinicaltrainingandresearchand,aboveall,acommitmenttoworkwithstudentstodeliver thebestpossiblequalityofcare. WillGoodall WelcomefromCourseDirectoratStirling ThisMSc,establishedin2005withconsiderablesupportfromNHSEducationforScotlandandthe firstofitskindintheuk,isanimaginativeandwelcomeresponsetothehighdemandfromprimary careservicesforeffectivepsychologicalinterventionsforadultswithanxietyanddepressive disorders.itoffers,forthefirsttime,anexcitingadditionalclinicaltrainingopportunityforpsychology graduatesinclosepartnershipwiththenhs. Thiscourseistheproductofagenuinelyeffectivecollaborationateverylevelandisextremelywell servedbyexperiencedclinicalpsychologistsandacademicstafffromtwoleadinguniversity Departments,eachwithstrongresearchrecordsinthisarea.Wearethuscommittedtoprovidingnot onlyveryhighqualitytraininginappliedclinicalandresearchmethods,usingthemostadvanced teachingresourcesandmethodsofdelivery,butalsoathoroughlyrewardingintroductiontoclinical work. FredaMcManus

5 5 HEALTHBOARDS NHSBorders PsychologicalServices:ServicestoAdultsWithMentalHealthProblems Thepsychologyserviceforadultswithmentalhealthproblemsisintegratedwithincombinedprimary andsecondarycarementalhealthteams.weseepeopleagedbetween18and70,withthevast majorityofreferralscomingfromgps.thesepresentawidevarietyofpsychologicalproblems rangingfromanxiety,depression,ocdandotherselfwcontrolproblemstothesequelaeoftrauma andabuse,psychosomaticdisordersanddifficultiesinadjustment. Thetherapeuticorientationoftheserviceismixed,bringingtogetheravarietyofapproaches includingcognitive,behaviouralandinterpersonalmodels.ouradultpsychologyestablishment comprises4.5wteclinicalpsychologists,3.0wteclinicalassociatesinappliedpsychologyanda 0.3wtecounsellor.Wehave1MScCAAPtraineeand3DClinPsychtraineesandprideourselvesin providingahighquality,variedtrainingexperience.thedepartmentvaluestheroleofcaapsand hasplayedaleadingroleindevelopinginnovativepostsforgraduatesofthemsc.currentlywehave 4CAAPsworkingwithintheservice,withoneworkinginanAddictionsService.Weofferexcellent opportunitiesforcaapstoplayakeyroleinthepromotionandpreventionofmentalhealthproblems inthewiderpopulationbcurrentlywehavecaapsworkingonanumberofprojectswithcolleaguesin thelocalhealthimprovementteamincludingabumptobabyevent,amen smentalhealthevent, andmatchfit.inaddition,caapsareresponsiblefordeliveringstressmanagementclassesandare currentlydevelopinginformationsessionsonarangeoftopicsincludinganxietymanagement, keepingwellinlaterlifeandocdwhicharebeingdeliveredinlocalcommunitysettings.caapsalso havemonthlypeersupportmeetingswherecasesandresearchpapersarediscussed. OurmainbaseisinGalashiels,apleasant30milecommutefromEdinburgh.Placementswilleither beingalashielsorhawickwhereourmainchmt sarebased.thisiswheresupervision,adminand avarietyofeducationalactivitiestakeplace.traineeshavetheirowndeskandroutineaccessto PCsandtheinternet,aswellasaccesstothedepartmentallibrary.ManyofourCAAPsand PsychologistsliveinEdinburghbitispossibletocommutetotheBordersfromanumberoflocations andsometimesitispossibletocarshare. DuetothesizeoftheBorders(80milesx80miles),workwithadultsisprimarilycarriedoutinhealth centres,atthebordersgeneralhospitalorinthemainborderstowns.atypicaldaycaninvolve travelof30milestocarryoutclinicalwork,thereforeadrivinglicenseandaccesstoacaris essential. IfyouwouldliketheopportunitytospeakinformallytooneofourcurrentCAAPs,pleasecontactus on andwewouldbehappytoarrangethis. NHSDumfries&Galloway DepartmentofPsychologicalServices&Research ThedepartmentisbasedatCrichtonHall,DumfriesandcoversthewholeofDumfries&Galloway, anareaof2500squaremilesandwithapopulationofover147,000.thedirectorismrianhancock, whohasabackgroundinadultmentalhealthservices. Thedepartmentoffersarangeofspecialities: Speciality HeadofService AdultMentalHealth DrAudreyYoung/MsAnaSim LearningDisabilities/Forensic MrBruceKidd

6 6 Child&Adolescent DrLouiseCumbley OlderAdults/Neuropsychology/Stroke DrJohnHiggon ClinicalHealthPsychologyServices DrAllysonTurnbull togetherwithawiderangeofskillmixincludingcounsellors,psychologicaltherapistsandaguided SelfHelpteamledbyDrMhairiWilliams.Altogetherthedepartmentcurrentlyemploysaround60 membersofstaff. AswellastakingaTraineeeachyearfromtheStirling/DundeeMScinPsychologicalTherapiesin PrimaryCarecourse,thedepartmentisfullyinvolvedwiththeUniversityofEdinburghClinical PsychologyTrainingschemeandcurrentlyemploys6TraineeClinicalPsychologists(usually2per year). Allmembersofthedepartmentareencouragedtodeveloptheirownspecialinterestsandbe involvedintraineeeducation.regularcpdsessionsareheldandresearchisencouraged. Membersofthedepartmentregularlyholdtrainingsessionsforawiderangeofotherprofessionals withinthenhs. Dumfries&Gallowayhasalonghistoryofpsychologicalservicesandthedepartmentplaysamajor partindeliveringserviceslocally. Dumfries&GallowayisabeautifulpartofSouthWestScotlandandeasilyaccessibleforEdinburgh, Glasgow,CarlisleandNorthernIreland. NHSFife AreaClinicalPsychologyService SituatedbetweentheTayandForthrivers,Fifehasexcellenttransportlinksandiswithineasy accessofthecentralbeltcities.thefifeareapsychologydepartmentconsistsofeightspecialities (80+posts)andallpsychologistsmeettogetherbiWmonthlyfordepartmentmeetings.Therearealso regularmeetingswithinthemainspecialities,includingclinicalcasediscussionopportunities. Despitethedepartment sexpansionoverrecentyearswemaintainareputationforafriendly, welcomingandsupportiveatmosphere.theareaheadofthepsychologyserviceisdrkatherine Cheshire.InformationabouttheDepartmentcanbefoundontheNHSFifewebsitewww.nhsfife.org. PrimarycarepsychologytraineeswillbebasedwithintheAdultMentalHealthandPrimaryCare servicespecialty,whichisheadedbydrfrancesbaty.thecurrentskillmixinthedepartment includesclinical,counselling,forensicandhealthpsychologists,cbttherapists,traineeclinical psychologists,andclinicalassociates(graduatesofthismsccourse).themainorientationis cognitivebehaviouralbutotherapproachesarealsoused,includinginterpersonalpsychotherapy andpsychodynamicpsychotherapy.traineeswillbeassignedtoaparticularsupervisorandwillbe workingcloselywithhim/her,mainlyorsolelywithinprimarycarepracticeswherewehaveclinic sessions.theremaybeopportunitiesforexperiencewithmorethanonesupervisorovertheyearof training.thedepartmenthasamajorcommitmenttotraining,andthereisadepartmentalclinical trainingcommittee,whichincludestraineerepresentativesforeachofthecourses.thereisaplace onthiscommitteeforoneofthefifeprimarycaremsctrainees.otherresourcesavailableto supportstirling/dundeetraineesincludealocalareatutor,aresearchfacilitator,goodcomputerand officefacilitiesandopportunitiestomeetwiththefifetraineesfromotherclinicalcourses.

7 NHSForthValley ClinicalPsychology ForthValley spopulation(approx.308,000)liveinavarietyofurbanandruralsettings.thearea s southernreacheslieinscotland scentralbelt(wherethemajorityofitspopulationlives), approximatelymidwaybetweenglasgowandedinburgh.thenorthernlimitsendinsmalltowns andvillagesamongstthescenicfringesofthesouthernhighlands.thetwomainurbancentres oftheregionarestirlingandfalkirk.stirlingisahistoriccitywithstrikingarchitecture,while FalkirkhasalwaysbeenanimportanttradingandindustrialcentreforScotland. ThePsychologyServiceinForthValleySomeismadeupof28clinicalpsychologists,3counselling psychologists,2clinicalassociates,4counsellorsand2psychologyassistant.theyareemployed by3threemaindepartments:adult,childandadolescentandlearningdisabilities.adult Psychologyprovidesinputtoprimarycare,communitymentalhealthteams,psychiatricrehabilitation, clinicalhealthandforensic. Thereare9wholetimeequivalent(wte)psychologistsandothertherapistsworkingintheprimary careservice,takingawiderangeofreferralsincludinganxiety,depressionandcomplextrauma. Thereisalsoapsychosexualcounsellor.Clinicsareheldinthetwomaindepartmentbasesin FalkirkandStirlingCommunityHospitalaswellassomeGPpractices. OurMSctraineesworkwithinthePrimaryCarePsychologyServicewhichworkstoamatchedcare modelandoffers: individualtherapy,usingavarietyoftherapeuticapproaches acomputerwbasedcbtcourse StressControl Mindfulnesslivingcourse selfwhelpmaterials MSctraineesareconsideredavaluableadditiontoourserviceandclinicalexperienceisprimarily gainedthroughprovidingonetoonetherapyaswellascarryingoutassessmentsfortheabove options.involvementwithgroupworkmayalsobepossible.aswellasreceivingweekly supervisiontraineesareinvolvedindepartmentcpd. NHSGreaterGlasgow&Clyde WorkingandlivinginandaroundGlasgow Glasgow is Scotland s largest city and the third largest city in the UK, with over one million inhabitants. Glasgow is a thriving cosmopolitan and commercial centre as well as offering a wide rangeofculturalandleisureattractions.itistheuk'slargestretailcentreafterlondon.thecityand surroundingtownshousemanywonderfulmunicipalartgalleriesandmuseums,firstclasssportsand leisure facilitiesb excellent theatresb an array of restaurants, pubs and clubsb and beautiful parks. GlasgowcombinestheenergyandsophisticationofagreatinternationalcitywithsomeofScotland s most spectacular scenery. Countryside and coastal views are within easy reach and Scotland's capitalcityofedinburghisonly42milesaway.transportlinksareexcellent,bothinternaltothearea andtothewideruk. 7

8 AboutNHSGreaterGlasgow&Clyde NHS GG&C is the largest organisation of its kind in Scotland and one of the largest in the U.K., providingarangeofcareandtreatmenttomeetthehealthcareneedsofapopulationof1,191,551 withinthehealthboardareaandemploying44,000staff. PsychologyServices Withapproximately250Psychologists,NHSGreaterGlasgow&Clydecontainsthelargestgrouping ofappliedpsychologistsinscotlandworkingacrossallareasofthelifespan:fromneonatestoolder adultsandatalllevelsofcomplexity:fromprimarycaresettingstonationalspecialistserviceswithin clinical health,trauma and psychosis. The area offers many opportunities for working closely with clinicalpsychologistsandinawidevarietyofmultidisciplinaryteams.therearestronglinksbetween services with a range of formal and informal networks enabling excellent relationships between psychologiststhroughoutthearea.nhsgreaterglasgow&clydeprovidestrainingfortraineeson the MScinChildandFamilycourseandtraineescompletingtheMScinPsychologicalTherapyin Primary Care. There are also a large number of trainee Clinical Psychologists studying on the UniversityofGlasgowDoctorateinClinicalPsychologyprogramme. NHSGreaterGlasgow&ClydehaswellWdevelopedprimarycarepsychologyservices,whicharea keycomponentofwellestablishedprimarycarementalhealthteams.primarycarementalhealth services in NHS GG&C vary in the nature of their service provision and staff composition across areas but generally benefit from a broad skill mix that may include counsellors, CBT therapists, mentalhealthpractitioners,clinicalassociates(primarycare)andappliedpsychologists.thelocal NHSLiaisonTutorforNHSGG&Cisresponsiblefororganisingclinicalplacementsacrossthewhole of the board area. Placements will be allocated in accordance with programme requirements, the availabilityofsuitableclinicalsupervisorsandtheworkforceneedsofnhsdepartments.thelocal NHSTutorarrangessuitableclinicalpracticeplacementsinconjunctionwithstafffromtheuniversity programme. InNHSGreaterGlasgowandClydeMSctraineeswillbeplacedinprimarycareserviceswithinone offouradultmentalhealthsectors: NHSLanarkshire PsychologyServices 1.OVERVIEWOFPSYCHOLOGICALSERVICES NHSLanarkshireisScotland sthirdlargesthealthboard.ourpsychologicalservicesprovideclinical andconsultationservicestotheapproximately700,000peopleofnorthandsouthlanarkshire.as of March 2015, there are approximately 150 clinical staff within the service. As services have developedoverthepastfewyears,sohastherangeofcliniciansworkingintheservice.inaddition toclinical,counselling,andhealthpsychologists,thereareclinicalassociatesinappliedpsychology (CAAP),CBTTherapists,MentalHealthPractitioners,andTherapeuticCounsellors.Together,these specialists provide a wide range of psychological interventions, across the spectrum of needs. Clinical staff are based in a variety of community and hospital settings. Our staff provide teaching acrossthedoctoralandmasterscourses,andtothesouthofscotlandcbtprogramme. 2.SERVICECOMPOSITION Servicesareprovidedinthefollowingareas: AdultPsychologicalTherapies PsychologicalTherapiesforOlderPeople AddictionPsychologyService PsychologicalTherapiesforAdultswithLearningDisabilities Child,Adolescent,andFamilyServices 8

9 ForensicPsychologyService LanarkshireEatingDisordersTeam ClinicalHealthPsychology MultiprofessionalStrokeTeam MultiprofessionalChronicPainTeam DomesticViolencePreventionandIntervention MultiprofessionalTraumaticBrainInjuryService 3.PLACEMENTSOFFERED We offer placements to Trainee Clinical Psychologists from both the Edinburgh and Glasgow DoctorateinClinicalPsychologyprogrammes,acrossgeneric,CAMHS,forensic,andOlderPeople pathways. In addition, opportunities are available for specialist placements during training. The ServicealsooffersplacementstotheMScinPsychologicalTherapiesinPrimaryCarebtheMScin Applied Psychology for Children and Young Peopleb and the Glasgow Caledonian University DoctorateinCounsellingPsychology. 4.STRUCTUREOFPSYCHOLOGICALSERVICESINLANARKSHIRE TheClinicalDirectorforPsychologicalServicesisDrGaryTanner.TherearetenlocalityWbasedAdult Psychological Therapies teams (PTTs), based in the major townships of East Kilbride, Hamilton, Motherwell, Bellshill, Wishaw, Cumbernauld, Cambuslang/Rutherglen, Coatbridge, Airdrie, and Clydesdale. There are also six CAMHS teams across Lanarkshire. All other services are hosted withinasinglelocality,butprovideapanwlanarkshireservice. 5.CLINICALACTIVITIESOFTHEAREAPSYCHOLOGYSERVICES 5.1AdultPsychologicalTherapies EachofthetenPsychologicalTherapyTeamsteamhasarangeofstaffemployedwithaConsultant Clinical/CounsellingPsychologistasTeamCoWordinator/Manager.Referralsarereceivedforclients across Tiers, and staff employ a variety of individual and group therapeutic approaches including CognitiveBehaviouralTherapy,InterpersonalTherapy,SchemaFocussedTherapy,Psychodynamic Psychotherapy, Behavioural Family Therapy and Person Centred Counselling. The PTTs work in close association with the CMHTs, and are active in training and supervising clinicians across the Services. Further specialist services are also provided in Psychiatric Rehabilitation, and Clinical HealthPsychology. 5.2PsychologicalTherapiesforAdultswithLearningDisabilities The department provides community based clinical input and psychological services to two multiw disciplinarycommunitylearningdisabilityhealthteamsandaninpatientassessmentandtreatment unit.thedepartmenthasamajorroleinprovidingautisticspectrumdisorderservicesandforensic services,inbothcommunityandinpatientsettings.staffundertaketrainingandconsultancywitha varietyofpublicsectorandvolunteerorganisations.thelearningdisabilityservice scentralbase housesavarietyofspecialistsincludingspeechandlanguagetherapy,psychiatry,physiotherapyand occupationaltherapy providingampleopportunityforcollaborativeworkingwithpersonsfromother disciplines.additionallythereareanumberofclinicallyrelevantresearchprojectsbeingcarriedout inthedepartment,includinginvolvementinanrctforemdrwithadultswithldandanopentrial ofuseofbftwithfamilieswherethereisapersonwithldusingthespecialistservices. 5.3AddictionPsychologyService TheAddictionsPsychologyService(APS)isaLanarkshireWwideservice.BasesareinCoatbridge, Hamilton,andMotherwell,withstafflinkedtolocalityaddictionteamsacrossLanarkshire. The APS has developed a model of service based on direct client contact, consultation, training, supervision, and support. A range of psychotherapeutic approaches are utilised, including CBT, psychodynamic, Gestalt, and solutionwfocused therapies. Much of the APS is communitywbased, although inwpatient contact is provided as appropriate. Referrals are managed via a steppedwcare system, allowing a threewlevel approach to assessment and treatment.there are a number of specialist posts in the Addiction Psychology Service including neuropsychology, and BBV. The servicecanofferadvancedspecialistplacementstotraineesinthirdyear. 9

10 5.4PsychologicalTherapiesforOlderPeople Psychological Therapies for Older People (PTOP) is a multiwprofessional areawwide service, with clinicalpsychologists,caaps,andseniorchargenursepsychologicaltherapists.ptopprovidesa service to ten Community Mental Health Teams for Older People, as well as to GPs, organic and functional inpatient units, day services, memory clinics and nursing/residential homes. The service alsoprovidesasubstantialamountofstafftrainingtootherprofessionalsandtopsychologistsfrom otherdepartmentswithinnhslanarkshire.placementsareofferedtotheedinburghandglasgow trainingcoursesforbothcoreolderpeople splacementsandmorespecialistadvancedplacements, includinginyoungonsetdementia. 5.5Tier3EatingDisorderSpecialistService(TESS).TESSisamultiWdisciplinaryteambasedat the Buchanan Centre, Coatbridge, providing a panwlanarkshire to individuals with severe eating disordersaged16w64years.managedbyaconsultantclinicalpsychologist,thereareopportunities forindividualcasework,multiwprofessionalworking,groupinterventions,workingwithcarers/families inadditiontoteaching/trainingotherprofessionals. 5.6Child,Adolescent,andFamilyServices(CAMHs) AllpsychologistsworkingwithinChildandFamilyServicesarebasedwithinmultiWdisciplinaryteams withtheexceptionofthepaediatricpsychologyteam.therearesixgenerictier3camhsteams, eachprovidingservicestoaspecificgeographicalarea:cumbernauld/airdrie,coatbridge/bellshill, Motherwell/Wishaw,Hamilton,ClydesdaleandEastKilbride.TherearealsofourspecialistCAMHs servicesofferingplacements:primarymentalhealthteam,learningdisabilitiescamhsteam,cayp (CAMHsforAccommodatedYoungPeople),andPaediatricPsychologyandNeuropsychology.MultiW disciplinary teams generally consist of Clinical Psychologists, Child and Adolescent Psychiatrists, ChildandAdolescentMentalHealthCliniciansandSocialWorkers.ClinicalPsychologistsworkingin CAMHs meet together regularly for professional management, CPD and Research and Audit meetings. 5.7ForensicMentalHealthPsychologyService TheserviceisbasedinHamiltonbutcomprisesamixtureofinpatient(lowWsecure)andcommunity working across Lanarkshire. Primarily, patients have a severe and enduring mental illness and usually a forensic history. The psychology service provides input as part of a multidisciplinary approach to care and treatment. Therapeutic work includes groupwbased interventions as well as formulationwdrivenindividualworkthatmightincludeinterventionsforpsychosis,personalitydisorder oroffencewfocussedwork.forensicriskassessmentisanotherkeyaspectofourroleandclinicians are trained and supervise others in the use of structured risk assessment tools (e.g HCRW20 and RSVP).Thereareopportunitiestoprovideteachingandtrainingtootherprofessionals/agencies,and to offer consultancy and supervision to others delivering lowwintensity psychological interventions. The service continues to evolve in line with national developments providing scope for trainee involvementinservicedevelopmentatalocallevel.theservicehasgoodlinkswithotherforensic mentalhealthservicesthroughoutscotland. 5.8ManagedClinicalNetworkforStroke Aspecialistteam,basedinCoatbridge,offersassessmentandrehabilitationservices 5.9ChronicPainTeam Based at Wishaw General Hospital, clinics are offered in the Buchanan Centre, Coatbridge. The serviceoffersassessmentandrehabilitationincludingagroupbasedpainmanagementprogramme. 5.10EVA(EndViolenceandAbuseagainstWomen) Based in Coatbridge, but working across Lanarkshire, this is a service offering training to other services and agencies, as well as offering information, advocacy, counselling and psychological assessmentandinterventiontowomenwhohavebeenorarevictimsofabuse. 5.11Traumatic/AcquiredBrainInjury This service provides psychological assessment and rehabilitation to those with traumatic brain injuries. 10

11 6.TEACHING,TRAININGANDRESEARCHACTIVITIES Staff within Psychological Services have close links with Glasgow, Edinburgh, Caledonian, and Stirling universities, and a servicewwide research group has been established to provide encouragement,consultationandsupportforpsychologystaffandtraineesplanningandconducting research.weareactivelyinvolvedindevelopingresearchproposalsfortrainees.wehaveamajor commitmenttoteachingonallthecoursesfromwhichwetaketrainees. Staffalsoprovideteachingandclinicaltrainingtoavarietyofotherprofessionalsandstaff,including nurses,healthvisitors,gps,traineepsychiatrists,juniormedicalstaff,careproviderstaff,adoptive andfosteringparents,socialworkers,midwiferystaffandalliedhealthprofessionals. 7.TRAVELANDSPECIALARRANGEMENTS InallNHSBoards,servicesareofferedacrossawidegeographicalareaandplacementswillrequire travel to various clinical bases and locations within the NHS Board region. There will also be a requirementforcommunityworksuchashomevisitswhichmaybeinrurallocations.publictransport withineachnhsboardareaisvariable,withsomepartshavingnoserviceandothersonlyavery infrequentservice.thismeansthatitcanbeverytimewconsuming,andinsomecasesimpossible,to relyonpublictransporttomeetthetravelrequirementsofthetraineerole.wheretraineeshavea specificneedtominimisetravelduetoadisability,reasonableadjustmentswillbemade.allother traineeswillbeexpectedtomeetallthetravelrequirementsoftherole,regardlessofthenhsboard inwhichtheyareemployedandthereforedrivingandhavingaccesstoacarwillbeofconsiderable benefitwhilstontheprogramme.thesefactorswillhavenoimpactontheselectionoftrainees. The majority of the population of Lanarkshire lives in a triangular area bounded by East Kilbride, Airdrie,andCarluke.HoweverSouthLanarkshireinparticularcoversalargeandpredominantlyrural area. Consequently, especially in services that are largely peripatetic such as Learning Disability, havingacaranddrivinglicenseisessential. Asubstantialportionofotherservicesisdeliveredin primarycaresettings,andthereforesomeflexibilityintravellingisdesirable.distanceshoweverare notsovastthatclinicaldutiesrequireanovernightstay. 8.Contacts ThefollowingpeoplecanprovidefurtherinformationontrainingopportunitieswithinNHSLanarkshire PsychologicalServices DrGaryTanner ClinicalDirectorofPsychologicalServices Gary.Tanner@nhs.net GillianAnderson HeadofService,LearningDisabilities Gillian.anderson@lanarkshire.scot.nhs.uk DrLeighWhitnall HeadofService,PsychologicalTherapies forolderpeople Leigh.Whitnall@nhs.net DrDeborahWilson ActingLocalNHSPsychologyTutor deborah.wilson@lanarkshire.scot.nhs.uk DrJaclynKehoe HeadofService,AddictionPsychology Jaclyn.Kehoe@lanarkshire.scot.nhs.uk DrEileenBoyes LeadPsychologist,ChildandFamily eileen.boyes@lanarkshire.scot.nhs.uk DrFionaMair DrMichaelRoss DrJoanneWaine LeadPsychologist,ForensicPsychology Service HeadofService,AdultPsychological Therapies TeamLeader,TierThreeEatingDisorders Service(TESS) Fiona.Mair@lanarkshire.scot.nhs.uk Michael.Ross@lanarkshire.scot.nhs.uk Joanne.Waine@lanarkshire.scot.nhs.uk DrCarolineSneddon PsychologicalTherapiesTraining Coordinator caroline.sneddon@lanarkshire.scot.nhs.uk 11

12 NHSLothian PsychologyServicesinLothianareorganisedinLothianwideSpecialtyServiceswitharound140 staffworkingacrossthearea. TheDepartmentscontainaskillmixincludingClinicalandCounsellingPsychologists,Clinical AssociatesinPrimaryCare,PsychologicalTherapists,PsychologyAssistantsandTrainees. TraineesbasedintheLothianshavetheopportunityofawiderangeofclinicalexperienceswithina smallgeographicalarea. Regularareameetingsencouragebothsharedlearningandsupportbetweendepartmentsandthere isalsoanactivecontinuingprofessionaldevelopmentprogramme. Placements PlacementswillbeavailablewithasupervisorexperiencedinworkinginPrimaryCare.These servicesmaybeofferedinavarietyoflocationswithinprimarycare,communityandhospitalbased settingsandmanysupervisorsworkwithinmultiwdisciplinaryteamsprovidingtraineeswiththe opportunitytoworkalongsideotherdisciplines. Traineeswillbeselectedtotrainwithineitheradultorolderadultservices,althoughtheywillall graduatewiththecompetenciestoapplyforpostsacrosstheagerange. ClinicalOpportunities AstherearemanypsychologistsworkinginprimarycareinLothian,theremaybeopportunitiesfor traineestoobserveorexperiencedifferenttheoreticalstandpointsandtogainsomeexperienceof anotherspecialty.themaintherapeuticmodelusediscognitivebehaviouralalthoughanumberof supervisorsmaybetrainedinadditionaltherapeuticmodels. Lothianhasasolidhistoryofparticipationinbothmultiprofessionalanduniprofessionalactivities strengtheningtheroleofpsychologywithinthenhs. Teaching Traineesmayhavetheopportunitytobeinvolvedindeliveringsometeaching. Research ThesupervisorsandLeadPsychologistsineachareawillencouragetraineestopursueresearchin linewithserviceprioritiesandtheirowninterestsandtopresenttheirresearchtotheirdepartment. Contactus Service/Department Name TelephoneNumber GeneralAdultMentalHealthServices CarolineWood OlderPeople sservicesedinburgh DonnaGilroy

13 13 NHSOrkney OrkneyisabeautifularchipelagoofislandsoffthenorthcoastofScotlandandhasapopulationof approximately20000.it'sexceptionallylowcrimerate,vibranteconomy,excellentschoolsandawide varietyofsportingopportunitiesmakesitapleasantplacetoliveandwork.thefriendly,forward thinkingcommunity,spectacularwildlife,richhistory,widerangingculture,music,artsandcraftsare someofthemanyattractionsavailable. Visitwww.orkney.orgtogetafullerpicture. ThereisoneMSctraineeplacementavailableinOrkney.TheMSctraineeinOrkneywillbebasedin thedynamic,busyadultcmhtwhichconsistsof17membersofqualifiedstaffw 1Psychiatrist,1Psychologist,1CBTtrainedOccupationalTherapist,7CommunityMentalHealth Nurses,2Socialworkers,4SupportWorkersandateammanager. Thetraineewillbeprofessionallysupervisedbytheteam sregistered&charteredpsychologistand CBTtrainedOccupationalTherapist.ArangeofapproachesareusedsuchasCognitiveBehavioural Therapy,EMDR,Mentalizationbasedtherapy,MotivationalInterviewingandothers.Thetraineewill beworkingwithawiderangeofpresentingdifficultiessuchasdepression,anxietydisorders, ObsessiveCompulsiveDisorderandothers.Thecurrentpriorityforpsychologicaltherapiesservice developmentsinnhsorkneyistoprovideamorecomprehensiveservicetotier2acrossorkney.it isenvisagedthatthetraineewillhaveinvolvementinthispartoftheservice TheMSctraineewillbebasedintheCommunityMentalHealthTeaminStromness(whichisalovely seasidetownapproximately15milesfromthecapital,kirkwall)butwillbeinvolvedindelivering clinicsacrosstheorkneyarea.themajorityofclinicalworkwillbeundertakeninkirkwallatthe OutpatientDepartmentatBalfourHospitalwheretherearebookableclinicalroomsavailable.There areoftenotherprofessionaltraineesonplacementinorkney,itisthereforeanextremelyrewarding andwelcomingservice,eagertoprovideandencouragetraineestodevelopnewskillsinboth individualandgroupworking. Thetraineewillhaveaccesstoadesk,computer,phoneandthereareexcellentvideoWconferencing facilitiesonsite.thetraineewouldbenefitfrombeingabletodriveandhaveaccesstoacardueto theruralnatureofmuchofthesurroundinglocale. StromnessisaportfortheferrytotheScottishmainland,andis30minutesfromKirkwallairport. TherearedailyflightsfromKirkwalltoAberdeen,Inverness,GlasgowandEdinburgh,whichallows easyaccesstostirlinganddundee. Orkneyisanareaofoutstandingnaturalbeautyandafantasticplacetoworkandlivein.Ifyouwould likefurtherinformation,pleasedonothesitatetocontactsuzannerooson01856w852110orbyew Keycontact: SuzanneRoos Registered&CharteredPsychologist CommunityMentalHealthTeam TheTownHouse 13VictoriaStreet,Stromness,KW163AA Tel:01856W852110bFax:01856W852139

14 NHSTayside PsychologicalTherapiesService NHSTaysideisresponsibleforprovidinghealthcareservicestoapopulationofapproximately 400,000. Tayside Area Psychological Therapies Service (TAPTS), as part of NHS Tayside, comprises of approximately 122 wte applied psychology posts including Clinical, Counselling and Forensic Psychologists, Clinical Associates in Applied Psychology, Accredited Therapists and Assistant Psychologists.Clinicalstaffworkinavarietyofspecialtiesincluding: ChildandAdolescent LearningDisabilities PrimaryCare/AdultMentalHealth Forensic Neuropsychology(AcuteandRehab) ClinicalHealthPsychology OlderAdults GeneralAdultPsychiatry EatingDisorders Addictions WithinTAPTS,adultprimarycareservicesaredividedintothreeseparateareasthatcoverPerthand Kinross,DundeeandAngus.ThePerthandKinrossteamarebasedinMurrayRoyalHospital, PerthbtheDundeeteamisbasedat7DudhopeTerrace,DundeebandtheAngusteamarebasedat StracathroHospital,nearBrechin.Ineachoftheselocalities,PsychologicalTherapistsworkclosely withgpcolleaguesandoperateclinicsinlocalhealthcentresandgppractices.atpresentthe PsychologicalTherapiesServicetoprimarycareincludesClinicalandCounsellingPsychologists, AccreditedTherapistsandClinicalAssociatesinPrimaryCare.Traineesonthiscoursewillbe locatedinoneofthethreeprimarycareteamswhereavarietyofdifferentmodelsoperatetoprovide servicetogppractices.theabilitytotravelisparticularlyrelevanttotheangusplacement. Theprimarycarespecialitiesarewellestablishedwithastrongcommitmenttotraineesupervision andanintegratedapproachtothesupervisionandtrainingofappliedpsychologistsfromavarietyof trainingbackgrounds.welookforwardtowelcomingtraineesfromthemscinprimarycare PsychologicalTherapiescourse. COURSEADMINISTRATOR KarenForbes CourseAdministrator MScinPsychologicalTherapyinPrimaryCare 14

15 KarenisbasedintheDepartmentofPsychiatryatNinewellsHospital,Dundeeandisveryoftenthe firstpointofcontactforprospectiveapplicantsaswellasfortraineesoncetheyhavecommenced employment.karenisheavilyinvolvedintheorganisationoftheapplicationandselectionprocess, somostapplicantswillhavecontactwithheratsomepoint.traineeswillgettoknowkarenoverthe yearofthecourseandcometovaluethespecialinterestthatshetakesinthewelfareandprogress ofallofyou.duringtheapplicationperiod,karenisverybusyandwhilstsheishappytobe contactedifyouneedhelporinformation,justcheckbeforecallingthatyoudon talreadyhavethe informationyouneedintheapplicationpack. 15